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Komplementärmedizinische Behandlungsansätze bei Inappetenz und Ösophagitis

Complementary medical treatment approaches for patients with loss of appetite and esophagitis

  • Integrative Onkologie
  • Published:
Der Onkologe Aims and scope

Zusammenfassung

Hintergrund

Für viele Patienten mit HNO-, Ösophagus- und Bronchialkarzinomen stellen Ösophagitis und Inappetenz ein erhebliches Problem dar. Beides hat einen tiefgreifenden Einfluss auf den Ernährungsstatus der Patienten.

Methode

Klinisch bereits geprüfte komplementärmedizinische Behandlungsansätze wurden Zusammengestellt. Es erfolgt eine ergänzende Auflistung phytotherapeutischer Möglichkeiten aus dem Kanon der Traditionellen Europäischen Medizin (TEM).

Ergebnisse

Sowohl zur Behandlung der Inappetenz als auch der Ösophagitis gibt es eine Reihe medikamentöser und nichtmedikamentöser Behandlungsansätze, die der Onkologe kennen und beachten sollte. Europäische Phytotherapeutika sind bisher relativ selten einer klinischen Prüfung unterzogen worden.

Schlussfolgerungen

Die Nutzung komplementärmedizinischer Maßnahmen kann sowohl bei Appetitverlust als auch bei Ösophagitis im Einzelfall sinnvoll sein. Forschungsbedarf besteht insbesondere auf dem Gebiet der traditionellen europäischen Heilkräuter, da diese eine hohe Akzeptanz bei den Patienten haben.

Abstract

Background

Many patients with head, neck, bronchial or esophageal cancer suffer from loss of appetite and/or esophagitis due to multimodal treatment. Both symptoms have an important impact on the nutritional status of these patients.

Method

Compilation of several approaches of complementary alternative medicine (CAM), which were tested in clinical studies. Additionally, known phytopharmaceutical remedies from traditional European herbal medicine were listed.

Results

There are several drug-based and nonpharmaceutical therapeutic approaches for treating acute esophagitis and loss of appetite, which an oncologist should know and consider for treatment. So far there are only very few clinical studies investigating traditional European phytopharmaceutical drugs.

Conclusion

The use of CAM measures for improving appetite or inflammation of the esophagus can be reasonable in individual cases. More in-depth investigations of the effects of traditional European medicinal herbs are required as patients show a high consumer acceptance for these remedies.

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Authors and Affiliations

  1. Klinik für Hämatologie und Medizinische Onkologie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland

    Judith Büntzel

  2. Klinik für Innere Medizin II (Hämatologie und Internistische Onkologie), Universitätsklinikum Jena, Jena, Deutschland

    Jutta Hübner

  3. Klinik für HNO-Erkrankungen, Kopf-Hals-Chirurgie, Südharz-Klinikum Nordhausen gGmbH, Nordhausen, Deutschland

    Jens Büntzel

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Correspondence to Judith Büntzel.

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J. Büntzel, J. Hübner und J. Büntzel geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Büntzel, J., Hübner, J. & Büntzel, J. Komplementärmedizinische Behandlungsansätze bei Inappetenz und Ösophagitis. Onkologe 25, 1110–1117 (2019). https://doi.org/10.1007/s00761-019-00667-8

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  • DOI: https://doi.org/10.1007/s00761-019-00667-8

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